Care Home: Driftwood House

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What the care home does well The service offers a well-planned and personal level of support to the people living there, ensuring that they receive information about the home and events and activities that are available. Procedures are in place to ensure that issues are dealt with quickly, and everyone living in the home is aware of how to make any concerns known. The service offers a comfortable home to the people living there, and the ongoing building works, when complete, will provide improved facilities. What has improved since the last inspection? Since the last inspection, improvements to the homes procedures have addressed the requirements that were made, and together with the above mentioned improvements to the buildings will give people in the home better facilities, many of these already being in use. What the care home could do better: The manager of the service is not yet registered with the commission, and an application is expected shortly, and they need to ensure that their individual plans are fully utilised, and contain as much detail as possible. CARE HOMES FOR OLDER PEOPLE Driftwood House Lynn Road Hunstanton Norfolk PE36 5HL Lead Inspector Alan Buttery Unannounced Inspection 11th June 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Driftwood House Address Lynn Road Hunstanton Norfolk PE36 5HL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01485 532241 01485 535037 Mr Roy Alfred Kent Not applicable Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2007 Brief Description of the Service: Driftwood House is situated in a residential area, close to the sea front and town centre of Hunstanton. Originally a hotel, the building occupies a corner site in attractive grounds with a large car park and was adapted by previous owners as a residential care home. The registration category is for older people and accommodation is available in 18 single and 2 double rooms. At present all 20 rooms are being used for single occupancy. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection, and looked at the key standards for older people. During the visit, the manager was available to assist with information, and the proprietors were also there for part of our visit. Prior to the inspection, an Annual Quality Assurance Assessment was submitted (AQAA), and information and comments form this, and from people living in the home has been used in this report. What the service does well: What has improved since the last inspection? What they could do better: Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 6 The manager of the service is not yet registered with the commission, and an application is expected shortly, and they need to ensure that their individual plans are fully utilised, and contain as much detail as possible. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3, 5 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed information is gathered before anyone moves into the home to ensure that people looking to move into Driftwood can be confident their identified needs will be met. EVIDENCE: Prior to anyone moving into the home, a detailed assessment of need is undertaken. The home has a mixture of privately funded and local authority funded residents, but would ensure that irrespective of the funding arrangements, a pre admission assessment is carried out. From this they are able to ensure that a person’s needs can be met by the home, and that any necessary equipment, aids or adaptations are available. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 9 Wherever possible, they meet with the person hoping to move into the home, but occasionally this is not possible in which case they meet with relatives. They also try to arrange for the person moving to the home to visit before they decide if they wish to move in. During our visit, we looked at some of the records held on people living in the home, and the pre admission documents were seen on the files we examined. Once it has been established that the home is able to meet the needs identified in the assessment, and that the person involved is happy with their choice of home, arrangements are made for them to move in, contacts completed and an initial care plan prepared. It was recommended that the home confirm all the details in writing before the person moves in. The service does not offer intermediate care. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual plans provide information to care staff on how to meet needs, although more detail would be a benefit. Procedures in place ensure medication is administered safely at all times. EVIDENCE: Once it has been established that the home is able to meet the identified needs of the individual, an initial care plan is written in readiness for the person to move into the home. This provides basic details to enable the home to provide the required support as soon as the person arrives, and is reviewed and developed further as they get to know the person better. A new format of care plan was introduced last year, and during our visit we looked at the care plans for three of the people living in the home. The plans provided the basic information required, but need to have more detail, using the format they already have, and need to record medical appointments such as chiropody visits. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 11 Last years inspection report noted some difficulties with the local GP practice, but following meetings with the surgery Practice manager, these issues have been resolved, and the relationship between them is good. Medication is administered using the Boots monitored dosage system, and training is provided to all staff involved in the administration of medicines. Since the last visit, a new stock control system has been introduced, which has addressed the concerns that were raised. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A range of activities and events are available to people living in the home, often including family and friends, and regular residents meetings allow people living in the home the opportunity to discuss aspects of the home, including menus. EVIDENCE: Although the home does not have a dedicated activity worker, care staff help in providing activities for the people living in the home. A list of activities is available on the notice board, and the manager confirmed that wherever possible, they encourage people living in the home to get out and about, and take part in the events that they arrange. These include regular entertainment, church services, arts and crafts and a library. Following building works in the home which are shortly to be complete, the home will be having a summer fete, which is being opened by the home’s oldest resident who is 104, and will include families and local dignitaries, including their local MP. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 13 One of the people living in the likes to help in the garden, and visits the local garden centre with staff. Residents meetings are held every three months or so, and very well attended, at the last meeting in April, all 19 people in the home at the time attended, and the meeting gives them chance to discuss events and activities, planned changes to the home, menus and any other concerns. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the home are aware of how to make concerns or allegations known, and confident that these will be listened to. EVIDENCE: Procedures are in place to deal with any concerns or complaints raised with the home. A copy of their procedure is included within the service user guide, and given to relatives. The commission have not received any concerns in the past year. Adult safeguarding procedures are in place and staff receive training as part of initial induction training as well as regular training updates. There have been no safeguarding issues raised in the last year. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The alterations to the premises, which are almost complete, have improved facilities in the home for the people living there. EVIDENCE: Building works that were being done at the last inspection are almost complete, which will add additional rooms, and improve facilities. It is anticipated that these works will be completed shortly, and a big opening event is planned. In the meantime the home is managing to maintain cleanliness within the home, and minimising disruption to people living in the home. On the day of our visit, the home was clean, and no unpleasant odours were noted. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Recruitment procedures ensure that required information is obtained on all employees to ensure the safety of the people they will be supporting, and a range of training provided to staff. EVIDENCE: The service operates with a senior and three care staff in the mornings, which reduces to two care staff during the afternoon and early evening. The staffing levels will be looked at again when the service completes the building works and the new rooms come into use. In addition to care staff, the service has domestic and kitchen staff, and the new manager no longer takes a hands on care role. Recruitment procedures are in place to ensure that adequate checks are made, and evidence of these checks was seen on the files examined during the inspection. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Health and safety procedures ensure that staff and residents are not placed at risk, and regular discussion with people living in the home maintains their place at the centre of everything that is happening in the home. EVIDENCE: Although the services manager has already completed her Registered manager’s award, no application for registration has yet been submitted. The home’s proprietors remain in day-to-day control of the home, but an application will be submitted shortly. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 18 The service puts the needs of those living in the home at the forefront of all that they do, and residents that were seen during the inspection appeared very satisfied with the support they receive. People we spoke to during our visit were more than happy with the support and service they receive, with comments made such as ‘they look after me very well’ ‘the staff are wonderful’ The service avoids dealing with resident’s financial matters wherever possible, and ensure that any financial transactions are recorded and signed for by two people. Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP31 Regulation 8(1) Requirement An application for registration of the homes manager must be submitted to the Commission to ensure she is suitable for the post of Registered manager Timescale for action 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations More detail is required within care plans to show the desired outcomes for the person Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Driftwood House DS0000027358.V367878.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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